This summary is based on the article published in the Journal of Esthetic and Restorative Dentistry: Clinical decisions for anterior restorations: the concept of restorative volume (December 2012)
Context
The choice of the most appropriate restoration for anterior teeth is often a difficult decision. Numerous clinical and technical factors play an important role in selecting the treatment option that best suits the patient and the restorative team. Experienced clinicians have developed decision processes that are often more complex than may seem. Less experienced professionals may find difficulties making treatment decisions because of the widely varied restorative materials available and often numerous similar products offered by different manufacturers.
Purpose of the Article
- The authors aim to suggest a simple and generic “thinking process” that can help clinicians, especially those less experienced, identify risks, and support their restorative decisions based on the scientific evidence.
- The article presents a review of available evidence and integrates the authors’ clinical experience to select relevant factors that could provide a logical and practical guideline for restorative decisions in anterior teeth.
Key Messages
- The concept of restorative volume is based on structural, optical, and periodontal factors. Each of these factors will influence the short- and long-term behavior of restorations in terms of esthetics, biology, and function.
- Despite the marked evolution of esthetic restorative techniques and materials, significant limitations still exist, which should be addressed by researchers.
- The guidelines presented in the article must be regarded as a mere orientation for risk analysis. A comprehensive individual approach should always be the core of restorative esthetic treatments.
Clinical Significance
- The complex decision process for anterior esthetic restorations can be clarified by a systematized examination of structural, optical, and periodontal factors.
- The basis for the proposed thought process is the concept of restorative volume that is a contemporary interpretation of restoration categories and their application.
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